19 April 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Patrick Morant on 17 August 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Dr Patrick Morant on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 19 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 17 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
- The practice had taken action on all of the areas identified at the last inspection.
- Safety had improved. Staff had relevant training, and risks were well managed. There were arrangements to deal with emergencies and major incidents.
- Performance on measures of care for people with diabetes had improved.
- Quality improvement activity had increased.
- The overall governance arrangements had improved, with stronger arrangements for managing risks, for managing training, and for ensuring policies (e.g. recruitment) were implemented consistently.
However, there were still some areas where the practice should continue to make improvements.
The provider should:
- Continue to develop quality improvement activity, including audit to improve outcomes for patients with coronary heart disease.
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Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them. Although the practice had taken some action in this area, only 18 carers had been identified (0.4% of the practice list).
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice